A six-year old with Glomerulonephritis has had blood and urine samples sent to the laboratory. Which of the following results are expected findings?

Elevated BUN and Creatinine, decreased H & H decreased platelet count

Hematuria, decreased BUN and elevated Creatinine, negative ASO titer

Gross hematuria, proteinuria, increased BUN and Creatinine, decreased Sed Rate

Elevated BUN and Creatinine, Urine specific gravity of 1.030, positive ASO titer

Answer and Explanation

The Correct Answer is D

A. Decreased H & H and platelet count are not typical findings in glomerulonephritis.
B. Decreased BUN is not expected; BUN typically increases due to impaired kidney function.
C. Decreased Sed Rate is not expected; Sed Rate may increase due to inflammation.
D. Elevated BUN and Creatinine indicate impaired kidney function. Urine specific gravity of 1.030 indicates concentrated urine, and a positive ASO titer suggests a recent streptococcal infection, which is associated with glomerulonephritis.

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Correct Answer is B

Explanation

A. Doing everything for the child may increase dependency and does not promote the child's development.
B. Assessing the child's level of mental maturity, self-help abilities, and habits helps the nurse to provide care that is appropriate to the child's developmental level and promotes independence.
C. Using chronological age alone does not consider the child's actual developmental abilities.
D. Speaking only to the mother ignores the child's ability to understand and participate in their own care, regardless of their level of disability.

A. The child's urine output is 190mL in an 8-hour period and their urine is dark brown B. The child is lethargic, confused and complains of a headache and double vision C. The child's BUN, creatinine, and erythrocyte sedimentation rate are elevated D. The child sleeps most of the day, is irritable when awake, and the BP is 138/80

Correct Answer is B

Explanation

A. Decreased urine output and dark brown urine are concerning but not immediately life-threatening.
B. Lethargy, confusion, headache, and double vision are signs of severe hypertension and possibly hypertensive encephalopathy, which require immediate attention.
C. Elevated BUN, creatinine, and ESR are indicative of kidney dysfunction but are not as immediately concerning as neurological symptoms.
D. While elevated BP and irritability are concerning, they are not as immediately critical as the neurological symptoms in option B.

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A six-year old with Glomerulonephritis has had blood and urine samples sent to the laboratory. Which of the following results are expected findings?

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